Who volunteers for a breast self-examination program? Evaluating the bases for self-selection

Area of Science:

• Oncology
• Preventive Medicine
• Health Education

Background:

• Breast cancer prevention relies on early detection methods.
• Breast self-examination (BSE) is a key component of early detection strategies.
• Assessing patient interest and participation in health programs is crucial for effectiveness.

Purpose of the Study:

• To evaluate interest in a free breast self-examination (BSE) teaching program.
• To identify differences between women who participated in the program and those who declined.
• To understand the factors influencing self-selection for health education programs.

Main Methods:

• A free BSE teaching program was offered to 1590 women patients.
• Interest was assessed, and a follow-up survey of refusers was conducted.
• Health Locus of Control Scales were used to measure health beliefs and responsibility.

Main Results:

• 51% of eligible women expressed interest; 24% participated in the teaching.
• Participants had less prior BSE experience, more family cancer history, and longer physician relationships.
• Participants demonstrated greater confidence in detection/treatment, less fear, and higher personal/physician responsibility for health outcomes.

Conclusions:

• Self-selection for the BSE program appears rational, driven by individual needs and program characteristics.
• Targeted health education can be cost-effective by reaching motivated individuals.
• Understanding participant characteristics can optimize the delivery of preventive health services.